CANDICE PHYLLIS LOVE SHIDLER

KLAMATH FALLS, OR
NPI1295218063
Former NameCANDICE PHYLLIS LOVE JASKIEWICZ
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy251S00000X Community/Behavioral Health
Enumeration Date2018-09-07
Last Update Date2018-09-07
Business Address
CANDICE PHYLLIS LOVE SHIDLER QMHA
2210 N ELDORADO AVE
KLAMATH FALLS, OR 97601-6418
Phone number: 541-883-1030
Mailing Address
CANDICE PHYLLIS LOVE SHIDLER QMHA
2210 N ELDORADO AVE
KLAMATH FALLS, OR 97601-6418
Phone number:
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